The Pharmacy At Bergheim

LBN: Premium Pharma, Llc
The Pharmacy At Bergheim is an health care organization with primary practice located at 1 Fm 3351 S Ste 115 , Boerne TX 78006. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Premium Pharma, Llc can be contacted via phone (830) 336-2882, or through Klatt, Dudley via phone (361) 227-0412.

Contact Information

Primary practice address
1 Fm 3351 S Ste 115 Boerne TX 78006
Phone: (830) 336-2882
Fax: (830) 336-2883
Website:
Map and Directions
Authorized official contact:
Name: Klatt, Dudley
Phone: (361) 227-0412

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 31977 Texas

Profile Details

NPI number 1578052312
LBN Legal business name Premium Pharma, Llc
DBA Doing business as The Pharmacy At Bergheim
Authorized official Klatt, Dudley
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2018
Last updated Nov 15th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578052312 NPPES
Other 2177272 PK

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